Provider Demographics
NPI:1992973176
Name:DAVID E SHEINKOPF DDS PLLC
Entity type:Organization
Organization Name:DAVID E SHEINKOPF DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:SHEINKOPF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:212-765-5030
Mailing Address - Street 1:515 MADISON AVE
Mailing Address - Street 2:28TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-5403
Mailing Address - Country:US
Mailing Address - Phone:212-765-5030
Mailing Address - Fax:212-765-5041
Practice Address - Street 1:515 MADISON AVE
Practice Address - Street 2:28TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5403
Practice Address - Country:US
Practice Address - Phone:212-765-5030
Practice Address - Fax:212-765-5041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-11
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0295831223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00294404Medicaid
NY00294404Medicaid
WDD021Medicare PIN